https://www.mdu.se/

mdu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Perceived discrimination, socioeconomic disadvantage and refraining from seeking medical treatment in Sweden
2007 (English)In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 61, no 5, p. 409-415Article in journal (Refereed) Published
Abstract [en]

Study objective: To analyse the association between perceived discrimination and refraining from seeking required medical treatment and the contribution of socioeconomic disadvantage. Design and setting: Data from the Swedish National Survey of Public Health 2004 were used for analysis. Respondents were asked whether they had refrained from seeking required medical treatment during the past 3 months. Perceived discrimination was based on whether respondents reported that they had been treated in a way that made them feel humiliated ( due to ethnicity/race, religion, gender, sexual orientation, age or disability). The Socioeconomic Disadvantage Index ( SDI) was developed to measure economic deprivation ( social welfare beneficiary, being unemployed, financial crisis and lack of cash reserves). Participants: Swedish population-based survey of 14 736 men and 17 115 women. Main results: Both perceived discrimination and socioeconomic disadvantage were independently associated with refraining from seeking medical treatment. Experiences of frequent discrimination even without any socioeconomic disadvantage were associated with three to nine-fold increased odds for refraining from seeking medical treatment. A combination of both frequent discrimination and severe SDI was associated with a multiplicative effect on refraining from seeking medical treatment, but this effect was statistically more conclusive among women ( OR = 11.6, 95% CI 8.1 to 16.6; Synergy Index ( SI) = 2.0 ( 95% CI 1.2 to 3.2)) than among men ( OR = 12, 95% CI 7.7 to 18.7; SI = 1.6 ( 95% CI 1.3 to 2.1)). Conclusions: The goal of equitable access to healthcare services cannot be achieved without public health strategies that confront and tackle discrimination in society and specifically in the healthcare setting.

Place, publisher, year, edition, pages
Natl Inst Publ Hlth, S-10367 Stockholm, Sweden. Lund Univ, Dept Clin Sci, Malmo, Sweden. Karolinska Inst, Stockholm, Sweden.: BMJ PUBLISHING GROUP , 2007. Vol. 61, no 5, p. 409-415
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-50067DOI: 10.1136/jech.2006.049999ISI: 000245685800010PubMedID: 17435207Scopus ID: 2-s2.0-34247537102OAI: oai:DiVA.org:mdh-50067DiVA, id: diva2:1467292
Available from: 2020-09-15 Created: 2020-09-15 Last updated: 2022-03-18Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Wamala, Sarah

Search in DiVA

By author/editor
Wamala, SarahMerlo, Juan
In the same journal
Journal of Epidemiology and Community Health
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 42 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf